| NPI | 1003339359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A17332) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 36743) |
| 1041C0700X Social Worker, Clinical (Licence: ID 8851904) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2026-02-28 |